放射性介入技术在多发损伤并失血性休克救治中的应用  

Embolism techniques adopted in treating multiple trauma accompanied with hemorrhagic shock

作　　者：刘流[1] 夏春雷 梁德江[1] 彭小新[3] 满立波[1] 何峰[1] 黄广林[1] 王海[1] 赵雨辰[1] 

机构地区：[1]北京大学第四临床学院北京积水潭医院外科,北京100035 [2]河北省廊坊安次医院外科,河北廊坊650000 [3]北京大学第四临床学院北京积水潭医院介入科,北京100035

出　　处：《中国普通外科杂志》2002年第4期223-225,共3页China Journal of General Surgery

摘　　要：目的　探讨多发损伤并失血性休克救治中有效的止血方法 ,以提高救治率。方法　在 5例多发损伤并严重失血性休克的治疗中 ,对实质性脏器及血管的损伤先行栓塞 ,控制出血 ,纠正休克后迅速行手术探查 ,对空腔脏器行修补等处理。结果　经先期栓塞止血处理后 ,休克状况均于短时间内缓解 ,后期手术探查证实无严重的活动性出血 ,仅对空腔脏器行修补等处理 ,5例均救治存活。结论　栓塞技术所需时间短、操作简便、损伤小、止血效果好 ,可提高多发损伤并失血性休克的救治率 。Objective To study the effective hemostatic method for treating multiple trauma accompanied with hemorrhagic shock to increase the existence rate. Methods In treating 5 patients of multiple tauma accompanied with hemorrhagic shock, We used radiological embolism to injuried parenchymatous organs and injuried vessels to arrest the bleeding at first. After shock recovered, prompt exploration was made to repair injuried hollow viscus. Results After embolism and bleeding arrested, shocks in all 5 patients were corrected in short time; and no serious active hemorrhage was found after abdominal operation to repair the hollow viscus. All 5 patients survived after the operation. Conclusions The radiological embolism is simple,and has the little trauma and a good hemostatic effect,and needs short time. The method for treating multiple trauma can improve the salvage rate of multiple trauma accompanied with hemorrhagic shock and fit the treatment principle of multiple trauma.

关 键 词：出血性休克 治疗 急救 放射性介入技术 

分 类 号：R605.971[医药卫生—急诊医学]